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Georgia rates for HCPCS 40701

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 Stg Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.80 / $5,079.00 / $9,512.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.69 / $1,365.49 / $2,534.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.18 / $4,429.60 / $8,545.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.16 / $1,771.31 / $2,929.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.33 / $1,515.07 / $3,073.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.61 / $1,454.53 / $3,275.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $8,182.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.58 / $1,542.95 / $3,158.49